title: Acute pancreatitis in pregnancy: A treatment paradigm based on our hospital experience.
abstract: BACKGROUND
  Acute pancreatitis (AP) is a rare event in pregnancy, occurring in approximately 3 in 10 000 pregnancies. The spectrum of AP in pregnancy ranges from mild pancreatitis to serious pancreatitis associated with necrosis, abscesses, pseudocysts, and multiple organ dysfunction syndromes. As in any other disease associated with pregnancy, AP is associated with greater concerns as it deals with two lives rather than just one as in the nonpregnant population. AP is most often associated with gall stone disease or hypertriglyceridemia.
  
  
  METHODS
  We present 2 years of experience during which we had eight patients of AP.
  
  
  RESULTS
  Of the eight patients, three underwent laparoscopic cholecystectomy and five were treated conservatively. One had multiple cysts in the abdomen which were drained. All the patients delivered at term. Prophylactic tocolysis was given for 48-72 h to only those patients who had laparoscopic cholecystectomy. All the patients recovered completely. There was no maternal or fetal mortality.
  
  
  CONCLUSIONS
  When properly managed AP in pregnancy does not carry a dismal prognosis as in the past.
authors.affiliation: Department of Obstetrics and Gynaecology, Dayanand Medical College and Hospital, Ludhiana, Punjab, India.
authors.forename: Sunil Kumar
authors.initials: SK
authors.lastname: Juneja
authors.forename: Shweta
authors.initials: S
authors.lastname: Gupta
authors.forename: Satpal Sing
authors.initials: SS
authors.lastname: Virk
authors.forename: Pooja
authors.initials: P
authors.lastname: Tandon
authors.forename: Vidushi
authors.initials: V
authors.lastname: Bindal
keywords: Acute pancreatitis; pregnancy; prognosis; treatment